scholarly journals Associations of Sleep Quality and Frailty among the Older Adults with Chronic Disease in China: The Mediation Effect of Psychological Distress

2020 ◽  
Vol 17 (14) ◽  
pp. 5240
Author(s):  
Peipei Fu ◽  
Chengchao Zhou ◽  
Qingyue Meng
Keyword(s):  
Older Adults ◽  
Psychological Distress ◽  
Sleep Quality ◽  
Chronic Diseases ◽  
Rural China ◽  
The Elderly ◽  
Mediation Effect ◽  
Poor Sleep ◽  
Poor Sleep Quality ◽  
Distress Scale

Frailty affects the elderly and leads to adverse health outcomes. Preliminary evaluations have suggested that sleep quality and psychological distress are predictors of frailty among older adults. However, the mechanisms by which sleep quality affect frailty had not been fully addressed in the previous research. This study aimed to explore the mediation effect of psychological distress on the association between sleep quality and frailty among the elderly with chronic diseases in rural China. A total of 2346 old adults were included in the analysis. Frailty status was measured by Fried Phenotype criteria. Sleep quality was assessed by Pittsburgh Sleep Quality Index (PSQI), and psychological distress was examined by Kessler Psychological Distress Scale (K10). Ordinal logistic regressions were performed to assess the relationships between sleep quality and frailty. Mediation test was also conducted by bootstrap method. The prevalence rate of frailty among the elderly with chronic diseases was 21% in rural China. Compared with the elder of robust status, respondents identified as having frailty have lower SES, less vigorous physical activity, and worse self-reported health status. Poor sleep quality was a significant predictor of frailty with mediators (OR = 1.44, 95% CI = 1.19–1.76). Mediation analysis suggested that psychological distress mediated 41.81% of total effect between sleep quality and frailty. This study indicated that poor sleep quality was significantly related to frailty, and psychological was a mediator of this association. However, we could not investigate causal relationships between variables since this was one cross-sectional study. These findings suggested that an early detection of sleep problems and also psychological disorders should be taken to prevent frailty among the rural older adults in China.

scholarly journals Sleep Duration and Sleep Quality as Predictors of Health in Elderly Individuals

2018 ◽  
Vol 10 (11) ◽  
pp. 3918 ◽  
Author(s):  
Lovro Štefan ◽  
Vlatko Vučetić ◽  
Goran Vrgoč ◽  
Goran Sporiš
Keyword(s):  
Sleep Quality ◽  
Sleep Duration ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Poor Sleep ◽  
Poor Sleep Quality ◽  
Cross Sectional ◽  
Elderly Individuals ◽  
Self Rated Health ◽  
Study Participants

The main purpose of the present study was to explore the associations of sleep duration and sleep quality with self-rated health. In this cross-sectional study, participants were 894 elderly individuals. Self-rated health, sleep duration, and sleep quality were self-reported. The associations were examined using multiple logistic regression analyses.After adjusting for sex, physical activity, smoking consumption, alcohol consumption, psychological distress, socioeconomic status, and chronic disease/s, sleeping <6 h (OR (Odds ratio) = 3.21; 95% CI (95 percent confident interval) 1.61 to 6.39), 6–7 h (OR = 2.47; 95% CI 1.40 to 4.36), 8–9 h (OR = 3.26; 95% CI 1.82 to 5.83), and >9 h (OR = 3.62; 95% CI 1.57 to 8.34) and having ‘poor’ sleep quality (≥5 points; OR = 2.33; 95% CI 1.46 to 3.73) were associated with ‘poor’ self-rated health. When sleep duration and sleep quality were entered simultaneously into the model, the same associations remained. Our findings provide evidence that both ‘short’ and ‘long’ sleep and ‘poor’ sleep quality are associated with ‘poor’ self-rated health. Thus, interventions that promote healthy sleep hygiene in the elderly are warranted.

A-124 Sleep Quality and Quantity in Individuals Aging with Traumatic Brain Injury: Associations with Psychosocial Outcomes and Health Conditions

2021 ◽  
Vol 36 (6) ◽  
pp. 1174-1174
Author(s):  
Rachael M Riccitello ◽  
Amanda R Rabinowitz ◽  
Umesh M Venkatesan ◽  
Kristine C Dell ◽  
Samantha M Vervoordts ◽  
...  
Keyword(s):  
Psychological Distress ◽  
Brain Injury ◽  
Sleep Quality ◽  
Sleep Duration ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
Poor Sleep ◽  
Poor Sleep Quality ◽  
Chronic Health

Abstract Objective To examine the association of sleep quality/duration with chronic health conditions, psychological distress, and quality of life (QOL) in older adults with chronic traumatic brain injury (TBI). Methods 120 older adults (x-age = 64.2 ± 8.3) 1 or more years (med = 9.8, range = 1.1–45.6) post moderate–severe TBI reported on history of chronic health conditions and current sleep duration and quality. Participants were categorized by sleep duration (&lt; 6, 6–8, &gt;8 hours) and whether or not they felt well-rested. Outcome measures were QOL (Quality of Life after Brain Injury questionnaire) and psychological distress (Brief Symptom Inventory-18). Results 65% of individuals reported receiving 6–8 hours of sleep; 78% reported feeling well-rested. 17.5% reported no health conditions, 47.5% one condition, and 35% reported two or more. High blood pressure, high cholesterol, and diabetes were the most common. Number of health conditions was not related to sleep quality χ2(2,N = 120) =0.83, p = 0.66, or quantity, χ2(4,N = 120) =7.4, p = 0.12. MANCOVA controlling for age, chronicity, and injury severity revealed a significant association between poor sleep quality and decreased QOL across multiple life domains, V = 0.30, F(6,105) = 4.6, p &lt; 0.001, ηp2 = 0.21. Sleep duration was also associated with QOL, Λ = 0.80, F(12,208) = 2.1, p &lt; 0.05, ηp2 = 0.108. In ANCOVAs, poor sleep quality was related to increased psychological distress, F(1,110) = 18.3, p &lt; 0.001, ηp2 = 0.142, but sleep duration was not, F(2,109) = 2.2, p = 0.12, ηp2 = 0.038. Conclusion Although most participants received the recommended amount of sleep, poor sleep quality/quantity were associated with poorer QOL and sleep quality was additionally associated with psychological distress. Chronic health conditions were prevalent in the sample, but not related to self-reported sleep quality/duration.

scholarly journals Assessing the impact of daylight exposure on sleep quality of people over 65 years old

2020 ◽  
Vol 41 (2) ◽  
pp. 183-192
Author(s):  
Lorna Flores-Villa ◽  
Jemima Unwin ◽  
Peter Raynham
Keyword(s):  
Sleep Quality ◽  
Elderly Population ◽  
The Elderly ◽  
Physical Activities ◽  
Sleep Disruption ◽  
Poor Sleep ◽  
Ageing Population ◽  
Poor Sleep Quality ◽  
Daylight Exposure ◽  
The Impact

Due to our social behaviours, people spend at least 80% of their time indoors, mostly under artificial light. In research and building design, daylight is considered a valuable asset because it is the primary source of free, good quality light and it is suggested that it has a positive influence on human performance, health and sleep quality. There is a tendency in the population for increasingly poor sleep quality with age, and this affects at least 50% of the elderly population. Research on sleep disruption has found that especially in the elderly population, interrupted sleep can affect alertness, cognitive performance and mood. This increases the risk of falls, increases fatigue and reduces some other mental functions. Exposure to daylight (indoors and outdoors) is expected to reduce sleep disruption. Physical activities and sleep quality were assessed using 32 participants living independently in the UK, aged between 65 and 95 years old. The study was divided into two seasons due to a considerable difference in daylight availability in summer and winter. In each season participants completed the Pittsburgh Sleep Quality Index (PSQI) questionnaire, Morningness–Eveningness Questionnaire (MEQ) and a seven-day sleep diary/log activity; where time spent outdoors was identified. It was expected that participants who reported less exposure to daylight during summer and winter would report worse sleep quality. However, this was not the case; subjective sleep quality did not differ greatly between summer and winter, even though exposure to daylight varies greatly between seasons. This study explores the relationship between exposure to daylight throughout two different seasons and people’s chronotypes, physical activities and sleep quality (between and within participants). This information is essential to find means of supporting an ageing population. Practical applications: In the built environment, daylight is an important feature to consider for the occupant’s health and wellbeing. This research provides real-world insight into the amount of daylight that active aged people are exposed to during two seasons in London, and how this could impact their overall sleep quality. The findings suggest that exposure to daylight could benefit people over 65 years old with poor sleep quality by reducing the number of awakenings during the night. This research provides a step towards understanding how daylight exposure effects people, and can be used to inform housing design for the ageing population.

scholarly journals THE MODERATING EFFECT OF RAISING ONE’S GRANDCHILDREN ON THE RELATION BETWEEN SLEEP AND DEPRESSION

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S678-S678
Author(s):  
Melanie Stearns ◽  
Danielle K Nadorff
Keyword(s):  
Older Adults ◽  
Risk Factor ◽  
Depressive Symptoms ◽  
Sleep Quality ◽  
Sleep Problems ◽  
Depression Scale ◽  
Poor Sleep ◽  
Older Individuals ◽  
Poor Sleep Quality ◽  
Custodial Grandparents

Abstract Recent evidence has shown that poor quality sleep is associated with depression, particularly among older individuals (Bao et al., 2017; Nadorff, Fiske, Sperry, & Petts, 2012). Moreover, given the high prevalence of depressive symptoms among older adults, it is important to identify possible risk factors of poor sleep quality. One possible risk factor is being a custodial grandparent (raising one’s grandchildren), as increased caregiving responsivities are associated with increased depressive symptoms (Brand-Winterstein, Edelstein, & Bachner, 2018). Based upon these previous findings, the current study examines the effect of custodial status on the relation between sleep quality and depressive symptoms. The sample (N = 466) was a subset of individuals recruited in the second wave of the MIDUS biomarkers project completed in 2009 who answered the sleep, caregiving, and depressive symptoms variables of interest. Measures included the Center for Epidemiological Studies Depression Scale (CESD), the Pittsburgh Sleep Quality Index (PSQI), and a question regarding custodial grandparent status. The current study aimed to examine whether poor sleep quality might serve as a risk factor for experiencing depressive symptoms and how custodial grandparents might differ from other older adults. Moderation analyses were conducted using SPSS’ Process macro on the sample. The interaction between global sleep quality and custodial grandparent status was significant in predicting depressive symptoms, t (1, 465) = 3.90, p = .04, such that custodial grandparents reported a stronger positive correlation between greater global sleep problems and depressive symptoms than non-custodial grandparents. Implications, future directions, and limitations are discussed.

scholarly journals Psychological Distress, Drug Use, and Internet Use: The Association with Poor Sleep Quality in a Sample of Secondary School Students

2020 ◽  
Vol 14 ◽  
pp. 117822182095730
Author(s):  
Anthony A. Olashore ◽  
Oluyemi O. Akanni ◽  
Olaniyi O. Ayilara
Keyword(s):  
Psychological Distress ◽  
Drug Use ◽  
Secondary School ◽  
Sleep Quality ◽  
Secondary School Students ◽  
Internet Use ◽  
Sleep Problems ◽  
Poor Sleep ◽  
Poor Sleep Quality ◽  
School Students

Sleep problems are common among children and adolescents. Sleep quality plays a significant role in their mental health. We aimed to determine the prevalence of poor sleep quality (PSQ) among secondary school students, identify sociodemographic factors associated with PSQ in this group, and examine the independent associations of psychological distress, stimulant use, and internet use with PSQ. Data were collected from 420 secondary school students from four different schools who were selected using a mixture of convenience and random sampling. A set of questionnaires was administered to collect data, and it consisted of 5 sections measuring: the sociodemographic, drug use, psychological distress, internet use, and sleep quality. A total of 378 questionnaires were analyzed. The participants comprised 174 (46.2%) males and 203 (53.8%) females who were between 10 and 21 years. The mean age was 14.78 years. The prevalence of those who had PSQ was 12.2%. A logistic regression model showed that anxiety (AOR = 1.20, 95% CI: 1.10-1.32), depression (AOR = 1.12, 95% CI: 1.00-1.25), and internet use (AOR = 1.02, 95% CI: 1.00-1.03) were significantly associated with PSQ. PSQ commonly exists among students and has a relationship with their psychological state and potentially addictive behavior, such as internet use. We prescribed the optimal treatment of psychological disorders and addictive behavior, of which sleep problems are a typical fallout.

scholarly journals Poor sleep quality and physical performance in older adults

Sleep Health ◽  
2020 ◽  
Author(s):  
Hayley J. Denison ◽  
Karen A. Jameson ◽  
Avan A. Sayer ◽  
Harnish P. Patel ◽  
Mark H. Edwards ◽  
...  
Keyword(s):  
Older Adults ◽  
Sleep Quality ◽  
Physical Performance ◽  
Poor Sleep ◽  
Poor Sleep Quality

Sleep patterns and physical function in older adults attending primary health care

2020 ◽  
Author(s):  
Lucía Arias-Fernández ◽  
Andrea M Smith-Plaza ◽  
María Barrera-Castillo ◽  
Jessica Prado-Suárez ◽  
Esther Lopez-Garcia ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Sleep Quality ◽  
Physical Function ◽  
Muscle Weakness ◽  
Sleep Disturbances ◽  
Poor Sleep ◽  
Poor Sleep Quality ◽  
Physical Frailty ◽  
Primary Health

Abstract Background Sleep disturbances may contribute to physical function impairment among older adults. Objective To examine the associations between sleep quality and duration and impaired physical function among older adults. Methods Cross-sectional study involving 392 non-institutionalized adults aged ≥65 years, who were recruited from primary health care centres in Spain. Sleep quality and duration were assessed with the Pittsburgh Sleep Quality Index (PSQI). The FRAIL scale was used to identify physical frailty, the short physical performance battery to assess lower extremity functional impairment (LEFI) and grip strength was measured using a hand-held dynamometer to assess muscle weakness. Statistical analyses were performed with logistic regression models adjusted for potential confounders. Results Participants with poor sleep quality (PSQI global score ≥10) were more likely to have functional limitations; the odds ratio (95% confidence interval) was 2.90 (1.10–7.64) for physical frailty, 2.73 (1.34–5.58) for LEFI and 2.32 (1.14–4.75) for muscle weakness. Sleep quality components associated with frailty were sleep disturbances, use of sleeping medication and daytime dysfunction. The only quality component associated with LEFI was poor sleep efficiency, while subjective poor sleep quality and daytime dysfunction were linked to muscle weakness. No associations were observed between night-time sleep duration and physical function indicators. Conclusions Poor self-reported sleep quality, but not sleep duration, was associated with an increased frequency of physical frailty, LEFI and muscle weakness. Interventions to improve sleep quality could contribute to healthy ageing.

Sleep quality mediates the relationship between frailty and cognitive dysfunction in non-demented middle aged to older adults

2019 ◽  
Vol 31 (06) ◽  
pp. 779-788 ◽  
Author(s):  
Sonya Kaur ◽  
Nikhil Banerjee ◽  
Michelle Miranda ◽  
Mitchell Slugh ◽  
Ni Sun-Suslow ◽  
...  
Keyword(s):  
Older Adults ◽  
Executive Function ◽  
Sleep Quality ◽  
Cognitive Decline ◽  
Processing Speed ◽  
Poor Sleep ◽  
Poor Sleep Quality ◽  
Subjective Sleep Quality ◽  
Delayed Recall ◽  
The Relationship

ABSTRACTObjectives:Frailty is associated with cognitive decline in older adults. However, the mechanisms explaining this relationship are poorly understood. We hypothesized that sleep quality may mediate the relationship between frailty and cognition.Participants:154 participants aged between 50-90 years (mean = 69.1 years, SD = 9.2 years) from the McKnight Brain Registry were included.Measurements:Participants underwent a full neuropsychological evaluation, frailty and subjective sleep quality assessments. Direct relationships between frailty and cognitive function were assessed using linear regression models. Statistical mediation of these relationships by sleep quality was assessed using nonparametric bootstrapping procedures.Results:Frailty severity predicted weaker executive function (B = −2.77, β = −0.30, 95% CI = −4.05 – −1.29) and processing speed (B = −1.57, β = −0.17, 95% CI = −3.10 – −0.16). Poor sleep quality predicted poorer executive function (B = −0.47, β = −0.21, 95% CI = −0.79 – −0.08), processing speed (B = −0.64, β = −0.28, 95% CI = −0.98 – −0.31), learning (B = −0.42, β = −0.19, 95% CI = −0.76 – −0.05) and delayed recall (B = −0.41, β = −0.16, 95% CI = −0.80 – −0.31). Poor sleep quality mediated the relationships between frailty severity and executive function (B = −0.66, β = −0.07, 95% CI = −1.48 – −0.39), learning (B = −0.85, β = −0.07, 95% CI = −1.85 – −0.12), delayed recall (B = −0.47, β = −0.08, 95% CI = −2.12 – −0.39) and processing speed (B = −0.90, β = −0.09, 95% CI = −1.85 – −0.20).Conclusions:Relationships between frailty severity and several cognitive outcomes were significantly mediated by poor sleep quality. Interventions to improve sleep quality may be promising avenues to prevent cognitive decline in frail older adults.

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